MEDICARE: DAVID ADAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZC0007X	Surgical Assistant		CO
2	246ZS0410X	Surgical Technologist		CO

General Provider Information

NPI Number	:	1700318110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ADAR

Provider Business Mailing Address
First Line	:	6736 HARROW ST
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4124
Country	:	US
Telephone Number	:	917-270-7528
Fax Number	:

Provider Business Practice Location Address
First Line	:	6736 HARROW ST
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4124
Country	:	US
Telephone Number	:	917-270-7528
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2017
Last Update Date	:	04/03/2017

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Directions to “ DAVID ADAR ” Practice Location

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